Lead VHA Contract Coder

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⚔️ Virginia – Remote

⚔️ Virginia – Remote

⏱ Part Time

🟠 Senior

🏥 Medical Billing and Coding

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Aptive Resources

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2012

🏛️ Government

Healthcare • Government • Consulting

Aptive Resources is a management consulting firm based in Alexandria, Virginia, specializing in providing innovative solutions to federal government agencies, particularly in veteran and civilian health sectors. With a strong focus on performance optimization, human capital, and data analytics, Aptive aims to improve the quality and accessibility of health care services for veterans and the general public. The company utilizes technology and human-centered services to bridge divides and enhance public service delivery for multiple agencies, including Veterans Affairs, Defense, and others.

📋 Description

• Perform outpatient and/or inpatient facility coding including ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG, and E&M for all encounters assigned by VAPORHCS • Access and review health record documentation in VA's VistA/CPRS system; enter codes into the approved coding application • Apply modifiers, CCI bundling guidelines, and Reason Not Billable (RNB) designations as appropriate • Code all standard cases within 7 calendar days of receipt/discharge; priority cases within one business day • Clarify conflicting, ambiguous, or nonspecific documentation; consult VHA coding guidance as appropriate • Comply with all HIPAA, VA/VHA privacy, security, and records management directives, and complete all required VA training prior to system access and annually thereafter • Comply with AHIMA Standards of Ethical Coding • Conduct coding audits covering not less than 5% of coded services; provide written feedback to team members, track quality trends, and report metrics to Arrow ARC PM on a weekly cadence • Ensure team coding production meets contract and program office standards, including a minimum of 70 outpatient or 13 inpatient encounters per coder per 8-hour day, and a 95% accuracy rate per HIMS program office requirements • Serve as primary point of contact for contract team coding questions and VA coding-related inquiries, including documentation clarification, VHA policy, and contract compliance matters • Mentor and support coders transitioning into VA/VHA coding environments; assist with onboarding and ongoing education as needed • Participate in VA-directed coding reviews, pre-bill re-reviews, or RAC/MAC audits as applicable

🎯 Requirements

• Active coding credential from AHIMA (RHIA, RHIT, CCS, or CCS-P) or AAPC (CPC or CPC-H); credential must be maintained for the duration of the contract • Proficiency with ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG assignment, and E&M guidelines • Experience working within VA systems (e.g., VistA/CPRS, VIRR) and complying with HIPAA/VA directives • Minimum 3 years of VHA facility coding experience, including current or recent experience (within the past 12 months) in a lead, supervisory, or senior coding role • Experience conducting coding audits and delivering feedback • Experience mentoring or training other coders

🏖️ Benefits

• Flexible hours